RN Adult Medical Surgical Online Practice 2019 B
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A nurse is assessing for Pain that increases with passive movement
compartment syndrome in
a client who has a short Rationale: The nurse should identify that a client who
leg cast. Which of the has compartment syndrome experiences pain that
following findings should increases with passive movement. Compartment
the nurse identify as a syndrome results from a decrease in blood flow in the
manifestation of this extremity caused by a decrease in the muscle
condition? compartment size due to a cast that is too tight.
My joints ache because I have Lyme disease
A nurse is providing
teaching to a client who
Rationale: Lyme disease is a vector-borne illness
has a severe form of stage
transmitted by the deer tick. The disease course
II Lyme disease. Which of
occurs in three stages beginning with joint and muscle
the following statements
pain in stage I. If left untreated, these symptoms
made by the client reflects
continue throughout stage II and, by stage III,
an understanding of the
become chronic. Other chronic complications include
teaching?
memory problems and fatigue.
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A nurse is preparing to 24
administer phenytoin 600
mg PO daily to a client.
The amount available is
oral solution 125 mg/5 mL.
How many mL should the
nurse administer? (Round
the answer to the nearest
whole number. Use a
leading zero if it applies.
Do not use a trailing zero.)
place a pressure bag around the flush solution
Rationale: The nurse should place a pressure bag
A nurse is caring for a
around the flush solution of 0.9% sodium chloride
client who has an arterial
because the pressure from an artery is greater than
line. Which of the
that of the line.
following actions should
An arterial line is not appropriate access for
the nurse take?
administering antibiotics. The nurse should use the
arterial line to obtain arterial blood gas samples and
monitor hemodynamic pressures.
Report of sore throat
A nurse is updating the
plan of care for a client Rationale: When using the urgent vs. nonurgent
who is receiving approach to client care, the nurse should determine
chemotherapy. Which of that the priority finding is a report of a sore throat,
the following findings which could be a manifestation of an infection. The
should the nurse identify client is at risk for neutropenia due to
as the priority? myelosuppression; therefore, an infection could lead
to sepsis.
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A nurse is reviewing the Facial butterfly rash
medical record of a client
who has systemic lupus Rationale: A butterfly rash is a manifestation of SLE. It
erythematosus (SLE). appears as a dry, red rash on the client's cheeks and
Which of the following nose and can disappear during times of remission.
findings should the nurse
expect?
A nurse is planning care Place tracheostomy tray at the bedside
for a client who is
postoperative following a Rationale: The priority action the nurse should take
parathyroidectomy. Which when using the airway, breathing, circulation
of the following actions approach to client care is to place a tracheostomy
should the nurse identify tray at the client's bedside in case of airway
as the priority? obstruction.
Low urine specific gravity
A nurse is assessing a
Rationale: An expected finding for a client who has
client who has diabetes
diabetes insipidus is a urine specific gravity between
insipidus. Which of the
1.001 and 1.005. Decreased water reabsorption by the
following findings should
renal tubules is caused by an alteration in antidiuretic
the nurse expect?
hormone release or the kidneys' responsiveness to
the hormone.
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